Provider Demographics
NPI:1285860056
Name:SALEHI, MOJGAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:MOJGAN
Middle Name:
Last Name:SALEHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 VIA EMILIA
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-1724
Mailing Address - Country:US
Mailing Address - Phone:772-567-2132
Mailing Address - Fax:
Practice Address - Street 1:210 VIA EMILIA
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-1724
Practice Address - Country:US
Practice Address - Phone:772-567-2132
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-06
Last Update Date:2009-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN16437122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist